USMLE Step 3 – Proven Strategies to Pass

As per this Study, the following variables predict USMLE step 3 performance :

1. Knowledge of clinical
science as measured on USMLE Step 2
exam
2. Having higher Step 2 Scores
3.The nature of the
residency training
4. Having a higher GPA
5. Residency training in a
broad-based specialty

Step 1 score did not predict Step 3 performance.

As you can see above, in addition to higher USMLE Step 2 CK scores and knowledge, having residency training and nature of residency training also predicted Step 3 performance. While higher CK scores may contribute to better MCQ performance, having hands on experience with real life EMR orders, speed with which you act in the ER during training – all these variables will help you get much higher score on Step 3 CCS. In addition to that you need to know how to apply real life experience on NBME CCS software to get the best score. You will need strategies to make the best use of NBM CCS software.

Why is doing very well on CCS crucial for passing USMLE Step 3?

For full detailed analysis on our Step 3 Test Strategy research, please visit About-Us

Our unique teaching strategies have resulted in 99% pass rate for all those trainees with prior multiple attempts. After six successful years, as we analyzed our teaching strategy, we consistently found a significant improvement in the CCS portion of all our test taker’s score reports ( when compared to their previous reports). We then requested our trainees to forward their score reports and did a retrospective analysis which revealed:

– 75% had an excellent performance on the CCS with only a borderline level performance on the MCQs
– 25% did moderately well on CCS and also moderately well on MCQs
– those with very borderline to poor performance on the CCS have failed irrespective of their performance on the MCQs

For most students with multiple attempts, score performance bars did not change much anywhere except in the CCS section. Yet, all of them passed!! This was especially true for people who previously failed with 70th percentile scores and above. This may suggest that if you are below 70th percentile in your previous attempts, you may need to brush your MCQ concepts too. But if you failed with an above 70% score, you need to check your score report to see if there is a scope for improvement in your CCS performance. That is where you can get the best results with the least effort!

In fact, doing extremely well on CCS with only a borderline performance on MCQs is sufficient to pass Step3! And this is achievable and much easier than achieving an above average performance on the MCQs.

Let us consider few logical points here to prove this fact again.

1. We always insist our students take NBME simulation test before the real step3 exam to see where they stand on the MCQ portion of the test. NBME does not have a CCS portion. If you consider NBME score (compare Step2), an above 400 (three digit) correlates with passing performance on Step3. However, since NBME does not include CCS, we have had a wide range of NBME scores that correlated with a PASS on the USMLE step3. This could be anywhere between 300 to 500. One of our students had a 310 – 3 digit score on NBME,a week prior to his real test. Yet, he passed with a 77% – his score report showed an extreme rightward bar (excellent) on CCS. (His MCQ performance correlated with that on NBME)

2. Recognize that CCS constitutes only 25% where as MCQs 75% of Step3 – that is 9 CCS cases and 480 MCQs. However, realize that each CCS constitutes 3% of your total score. Most examinees cannot answer more than 60% MCQs correctly. If you lose one CCS you lose 3% of your total score. In that case you need compensate this by correctly answering at least 15 MCQs ( i.e; 480 x 3% =14 MCQs) – this translates in to, roughly 2MCQs extra on each block. If you lose 2 to 3 CCS, the passing chances are dismal ( losing 2 CCS or borderline performance on CCS will require you to answer extra 4 to 6 MCQs correctly on each block i.e; for an examinee who scored 60% on his practice tests like Usmleworld, losing 2 CCS cases translates in to a requirement of 70% performance on MCQs to pass this test) – this is where it gets extremely difficult. This is why most people fail despite studying the theory time and again. This is why most people who score around 70 to 75% on popular practice Q banks like Kaplan and UWorld may still fail the exam!!!

Conclusions:
– Do not neglect CCS. Doing extremely well on CCS is achievable and rewarding. Extreme rightward performance on CCS on your score report has always led to passing scores. 
– Poor/ borderline performance on CCS requires excellent/ very good performance on MCQs in order to pass the test – this is very difficult to achieve!! 

With this in mind, we launched this interactive online CCS workshop ( launched : JUNE 2008) where we can reach several trainees all over the world at once and teach them this crucial CCS approach for passing Step3.  Today, Archer or Dr.Red CCS Workshop and Streaming lectures reach about 10,000 medical graduates each year and have established a proven track record in achieving very high success rates on this exam.

Access Archer USMLE Step 3 Review for strategic high-yield Step 3 Review. It is not how much you study but how you study that matter – at Archer, we teach you the time-tested SMART strategy to excel on USMLE STep 3 through focused Step3 CCS strategy and CCS Workshops, focused theory reviews and high-yield concept oriented Qbanks!

To clarify, we are transitioning from our old website at http://CCSWorkshop.com to our New Website at https://ArcheReview.com as we continue to grow rapidly beyond Step 3CCS courses and Lectures. Our New website has  HighYield Notes, Qbanks and Step1/Step2Ck products as well. 

Thank you for your trust and we will continue to make focused, strategic products that will help you excel in quickest possible time

Archer USMLE Step 3 Streaming Video Lectures

Full Length Review for USMLE Step 3

Question of the Week #74, 75

74) A 75 year-old man with history of hypertension presents to the emergency room with complaints of shortness of breath and palpitations. His vital reveal a heart rate 142/min, blood pressure 130/86, temperature 98.6 and oxygen saturation of 89% on room air. On auscultation, there are no rhonchii or crepitations, the heart rate was irregular and rapid with out any murmurs. The patient is placed on oxygen by nasal cannula. An urgent EKG is obtained which reveals rapid atrial fibrillation with no evidence of significant ST-T changes. The patient is started on diltiazem. Chest x-ray is normal and a brain natriuretic peptide is 80ng/L. Electrolytes, TSH and complete blood count are with in normal limits. Cardiac enzymes are drawn. Arterial blood gases reveal a pH of 7.48, po2 of 58, pco2 of 20 on room air ( Fio2 of 21%). The next step in establishing the etiology of his atrial fibrillation :

A) Cardiac catheterization
B) Spiral CT scan of the chest
C) Venos doppler of lower extremities
D) 2D Echocardiogram
E) D-Dimer

75) What is the most likely etiology of atrial fibrillation in Case 1?

A) Acute ST elevation MI
B) Acute pulmonary embolism
C) Pneumothorax
D) COPD exacerbation
E) Congestive heart failure

Question of the Week # 71

Q71) A 65 y/o African American man is brought by his daughter to you and requests a PSA test because there is a hx of prostate ca in their family. You perform PSA and DRE. DRE does not reveal any palpable mass. The lab test reveal : PSA : 8ng/ml, Free PSA: 1.5ng/ml. You reveal the results to patient and his daughter. The daughter asks you if her father has a cancer. Your best response is :

A) The PSA level increases with age and your father’s PSA  is in the  age-appropriate range
B) PSA level is very nonspecific and your father does not have a cancer
C) The fact that the free PSA is only 1.5ng/ml as opposed to a bound of 6.5 indicates that your father most likely has a cancer etiology rather than benign cause
D) PSA will not help in diagnosing carcinoma prostate
E) I did this test only because you requested for it, I do not think this results mean anything.

USMLE Step 3 CCS WORKSHOP – MAY 2010

Archer online live step 3 reviews aims to bring USMLE step 3 courses on your desktop, at your doorstep! These highly successful live USMLE Step3 online reviews are an extension of our very popular and successful ” Dr.Red’s online ccs workshop, which has reached more than two thousand step3 takers in less than 12 months and has resulted in 98% pass rate. Archer Reviews have achieved a high success rate even with examinees with multiple attempts by our unique approach. These online reviews are done live and in a webinar format. You can stay at home and listen to lectures live and like in a virtual classroom, you can raise your hand and your question will be immediately answered by the instructor. This is a live online classroom which reduces the pain of flying several miles to attend live reviews. These are the only one in the market that offer successful step 3 lectures in this unique, live format. Archer’s most successful endeavor has been Dr.Red’s CCS Workshop which has helped hundreds of examinees to pass easily by excelling on CCS component.

Archer’s next CCS online workshop for the month of January will be on Sunday 1/24/2010 at 10 AM EST.

If you are interested in registering for this course, you can pay for the course on the website at http://www.shop.ccsworkshop.com. Upon payment of the registration fee, your registration request will be automatically approved and an approval e-mail will be sent to you. This approval notice will have a button “Join Webinar” in it. Clicking this button on the day of the workshop will open up the live workshop on your desktop

To participate in the workshop, you will need a computer with internet access. For the audio, you can use either your computer’s microphone or a telephone. You will use the phone for the voice and log in to the conference call while you watch the power-point slides and the CCS demonstration on your desktop via. our unique net meeting software. You can also just opt to use your computer’s microphone in which case you do not need a telephone. Then you will get to practice a case while we watch and analyze your approach and correct it.

CCS Workshop Includes :

1. Lecture on CCS Strategies
2. Live demonstration of CCS cases
3. Common mistakes committed by the examinees and preventing them
4. Tips to score extremely high on CCS
5. Follow-ups of office and ER cases
6. Efficient use of time, doing more stuff without advancing the clock
7. Avoiding invasive tests
8. Basic set of orders for emergency cases
9. The 5-minute screen – adding/ disconinuing the orders that can matter
10. Obtaing consults and their appropriateness
11. Differential diagnosis for common ER and office presentations and easy tips to get the most out of few orders.
12. Working on efficiency
13. Live practice of 15 to 20 CCS cases by the attendees in the workshop
14. A these in addition to –> 20 minutes of supervised practice of one CCS case by each attendee who volunteers to practice. About 15 to 20 Highyield CCS cases will be practiced. During this time, you will be thoroughly analyzed, corrected and given instantaneous feedback by our experienced faculty

The total course fee is $97 .Slots are limited at 45.
If you are interested in the course, you visit Archer’s online store directly to pay : http://www.shop.ccsworkshop.com

If you have further questions, please directly contact support@ccsworkshop.com

Archer’s other courses include very informative topic reviews and the high-yield rapid review – please check our website. Next 3-Day Step 3 Rapid Review is in JULY -2010. Archer theory reviews are now available as streaming videos so that you can start accessing them from the beginning of your step 3 preperation and fine tune your conceptual understanding to score maximum on the Multiple Choice Questions on USMLE Step 3.

Archer launches PayPerView for USMLE Step 3 audio/video lectures

Archer Review releases Pay-Per-View option for those who missed out on their live reviews
Pay-Per-View enables you to watch the streaming video lectures for USMLE step 3 at your own convenience. These recordings are similar to the live webinar review in that you can see the powerpoint presentation running on your desktop screen while you also listen to the instructor’s audio.

Archer Review answers some of the frequently asked questions regarding Pay-Per-View
Please see below

What is Pay-Per-View?
Pay-Per-View system allows you to access the streaming video lectures online at your convenience and watch them at your home on your own desktop. You may purchase the full length course or topic-wise access.

Can I watch a Demo?
Yes! Contact us

What lectures for USMLE Step 3 do you currently offer via. Pay-Per-View?

The lectures that are currently available via. Pay-Per-View areA. Archer Full length ( 36 hours) USMLE Step 3 Review Course. B. Archer USMLE 3 Topic-Wise Lectures ( Hematology, Cardiology, Gastroenterology, Nephrology/Acid-base/Electrolytes, Pulmonology/Ventilators, Infectious diseases, Endocrinology, Neurology, Ethics, Rheumatology/ orthopedics/ sports medicine, Oncology, Preventive medicine, Psychiatry, Gynecology, Pediatrics and Dermatology )C. Lectures for USMLE Step2 CK will be available very soon.

What are these Video Lectures? Are they similar to your live reviews?

These streaming video lectures are the recordings of our live webinar sessions. These are exactly similar to our live review in that you can see both the powerpoint presentation ( a capture of the instructor’s desktop screen) as well as listen to the audio in conjunction with the powerpoint presentation. This eliminates the need for looking at a hand out or notes while listening to the lecture as you can directly see the powerpoint running on your screen.

Are we provided with any hand-outs or lecture notes?

Yes, you will be provided with relevant Archer USMLE Step 3 notes by e-mail once you purchase the streaming video for a particular topic or for the entire review.

Is Pay-Per-View more expensive than live review?

At this time, the cost of live review as well as Pay-Per-View is similar.What are the benefits of Pay-Per-View over the Live review?Live review needs to be attended at a designated time. Pay-per-view can be watched at your convenience. In Pay-Per-View, you can pause and listen to a particular portion again. You can also listen to the same lecture almost one and half times with the “watch time” that we currently provide.

What are the limitations of Pay-Per-View when compared to Live Review?

During the live review, you can directly ask questions and talk with the instructor. There is no such possibility via. Pay-Per-View. However, you may send us questions by e-mail and our instructor will try and answer them in about 3 days.

What is “Watch Time”?

Watch time is the amount time you are provided to watch the lecture. You are approximately provided with a watch time that is 50% greater than the length of the review. This allows to rewind and replay certain portions of the lecture if you wish. Watch time will not expire when you exit the lecture. Any unused watch time will be stored in your account and you can use it on an other day. When you resume the lecture, make sure to forward the player to the point where you left off. You can also replay the previous session as long as you have sufficient watch time in your accountFor each lecture, you will be provided with the duration of the lecture and the “Watch time” when you begin.

Do I need any special system requirements to play these?

These are WMV files and will play with any Windows Media Player.

How about the Internet connection requirements?Dial-Up connections are ok but broad band connection is preferred for uninterrupted access.

If interested, please visit Pay-Per-View to sign up!

Excerpts from Archer Rapid Review – Nephrology by Dr.Red

this is a 30 minute clip from recent Archer USMLE Step 3 Rapid review quickly summarizing electrolyte imbalance and acid-base

The above embedded video is not displaying the video. For access to full video+ audio, click here : Nephrology

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